Incidence of Oral Clefts Among Different Ethnicities in the State of California

Saad, Ahmad; Parina, Ralitza; Tokin, Christopher; Chang, David C.; Gosman, Amanda

doi:10.1097/sap.0000000000000164

Cited by 36 publications

(35 citation statements)

References 12 publications

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“…An observed decline in prevalence for CLP, and not for CP alone, was observed by others (Chang et al, ; Rozendaal et al, ; Saad et al, ). Rozendaal et al observed a decrease in CLP, however as we observed, they did not detect a statistically significant decline in CP alone (Rozendaal et al, ).…”

Section: Discussionsupporting

confidence: 58%

“…Rozendaal et al observed a decrease in CLP, however as we observed, they did not detect a statistically significant decline in CP alone (Rozendaal et al, ). Prior population‐based studies have described a declining prevalence of oral clefts among different ethnicities(Saad et al, )…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have observed a decrease in prevalence of orofacial clefts over the last couple of decades. However, these studies are relatively small, may have had incomplete ascertainment of orofacial clefts, or have not explored such declines across various race/ethnic groups (Chang, See, & Lo, ; Rozendaal, Luijsterburg, Ongkosuwito, de Vries, & Vermeij‐Keers, ; Saad, Parina, Tokin, Chang, & Gosman, ).…”

Section: Introductionmentioning

confidence: 99%

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Change in Prevalence of Orofacial Clefts in California between 1987 and 2010

Andrew

Yang

Bernstein

et al. 2018

American J of Med Genetics Pt A

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Change in Prevalence of Orofacial Clefts in California between 1987 and 2010

Andrew

Yang

Bernstein

et al. 2018

American J of Med Genetics Pt A

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“…Cubans and Asians, especially Chinese and Asian Indians, had either lower or similar rates of these defects compared with Europeans . Other studies on birth defects providing data on ethnic variation also suggest the existence of racial disparities in children with selected CMs …”

Section: Ethnicity Disparities In Pregnancy Outcomes In General Populmentioning

confidence: 96%

“…9 Other studies on birth defects providing data on ethnic variation also suggest the existence of racial disparities in children with selected CMs. 10,11 2.2 | Pregnancy complications/maternal outcomes Maternal ethnic background has been found to be an important contributor to pregnancy outcomes and complications in the general population.…”

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confidence: 99%

The role of ethnicity on pregnancy outcomes in women with epilepsy: The need for specific research

et al. 2018

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The role of ethnicity on pregnancy outcomes of women with epilepsy (WWE) has received little research attention but is important to guide management. The aim of this review is to identify and describe current knowledge of ethnicity for WWE giving birth. Literature searches were performed with the following terms: ethnic/race combined with epilepsy/seizure, antiepileptic drugs (AED), and/or pregnancy, and combined them with congenital malformation, birth outcome, or pregnancy complication, with English language restriction in PubMed, EMBASE, and Web of Science. Both primary studies and review articles were included. Ethnicity disparities exist in specific congenital malformations, pregnancy complications, and birth outcomes among the general population. There is also ethnicity-related diversity of AED disposition. Information on ethnicity is rarely considered in studies about pregnant WWE. The association between ethnicity and pregnancy outcomes of WWE remains to be elucidated. The lack of data relating to ethnicity in pregnancy studies among WWE needs addressing. Knowledge of potential effects of ethnicity on pregnancy outcomes in WWE will help inform better clinical care around the world.

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ICD‐10 impact on ascertainment and accuracy of oral cleft cases as recorded by the Brazilian national live birth information system

Nascimento

Castilla

Dutra

et al. 2018

American J of Med Genetics Pt A

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We compared Brazilian oral cleft (OC) frequencies between the population-based Brazilian System of Live Birth (SINASC) and the hospital-based Latin American Collaborative Study of Congenital Malformations (ECLAMC), trying to understand the paucity of cleft of lip and palate (CLP) in the first system. SINASC uses the International Classification of Disease version 10 (ICD-10) for congenital defects coding, ECLAMC uses ICD-8 with modifications. In SINASC, the CLP frequency was 1.7 per 10,000 (95% confidence limits 1.7-1.8), cleft lip (CL) 1.6 (1.5-1.7), and cleft palate (CP) 2.0 (1.9-2.1). In ECLAMC, the CLP frequency was 10.4 per 10,000 (9.0-12.1), CL 5.5 (4.5-6.7), and CP 4.4. (4.5-6.7). In SINASC, only 33% of the oral clefts were CLP, versus 51% in ECLAMC. Part of this discrepancy may have been due to the relative excess of CP and CL cases. Although congenital defect frequencies are usually lower in population than in hospital-based registries, differences in the proportion of the main OC categories are not expected and are probably due to ICD-10 coding issues, such as lumping of unilateral CL and CL without other specifications. ICD-10 codes, whose deficiency for oral clefts is fully explained in the literature, lack modifiers for severity, or clinical subtypes. This paper shows the practical aspect of the ICD-10 system deficiency in capturing cleft lip and palate (CLP) subtypes, as demonstrated in SINASC covering three million births per year. Such errors are expected to occur in any registry that uses the ICD-10 coding system, and must be adjusted, given its relevance worldwide.

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Incidence of Oral Clefts Among Different Ethnicities in the State of California

Cited by 36 publications

References 12 publications

Change in Prevalence of Orofacial Clefts in California between 1987 and 2010

Change in Prevalence of Orofacial Clefts in California between 1987 and 2010

The role of ethnicity on pregnancy outcomes in women with epilepsy: The need for specific research

ICD‐10 impact on ascertainment and accuracy of oral cleft cases as recorded by the Brazilian national live birth information system

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